Individual
JESSICA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 VINTAGE OAK AVE, GALT, CA 95632-3076
(209) 745-4614
Mailing address
1018 C ST STE 210, GALT, CA 95632-1771
(209) 744-4545
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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